Healthcare Provider Details

I. General information

NPI: 1821905340
Provider Name (Legal Business Name): HEART AND HOME RESIDENTIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 F ST SE APT 101
WASHINGTON DC
20019-6027
US

IV. Provider business mailing address

20 S CHARLES ST STE 403
BALTIMORE MD
21201-3282
US

V. Phone/Fax

Practice location:
  • Phone: 240-501-6190
  • Fax: 240-501-6190
Mailing address:
  • Phone: 240-501-6190
  • Fax: 240-501-6190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE LAWRENCE
Title or Position: OWNER
Credential:
Phone: 240-501-6190